Performing teammate and patient scheduling; overseeing the training of new clinical teammates (both RN and PCT)

Preparing, monitoring and maintaining dialysis machines and systems.

As a Charge Registered Nurse at DaVita you will constantly be on your toes working in a fast-paced, constantly evolving environment with new challenges to trouble-shoot and overcome. Make the most of your nursing and leadership skills to provide the highest level of care to our patients and ensure their safety, comfort, and well-being. In fact, we're blowing away the competition with our clinical outcomes. Isn't that why you went into nursing in the first place?

Patients

Help patients improve their quality of life by delivering outstanding clinical outcomes in a chronic setting.

Relationships

Build long-term bonds with your patients and their families.

Team

Your clinical team supports one another and creates a fun work environment.

Clinical Leader- DaVita is the top performer with more 4 and 5 STAR dialysis centers according to CMS.

A Qualified Charge Nurse (RN) should bring:

Current Registered Nurse (RN) license in the state of practice

Current CPR certification required

At least 12 months of registered nursing experience

At least 3 months of dialysis experience required (specific to the modality); dialysis training can be acquired during training

Associates Degree in Nursing (A.D.N) from accredited school of nursing required; Bachelor of Science in Nursing (B.S.N) preferred; three-year diploma from accredited diploma program may be substituted for nursing degree

Current CPR certification required

Completed training approved by the medical director and the governing body as required by CMS guidelines prior to operating the water treatment system

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As a home health nurse with Amedisys, you will provide one on one skilled nursing care and treatment to patients in their home using a comprehensive and patient specific care plan, innovative solutions, and a preferred technology for point of care documentation. You will have the opportunity to spend quality time with the patient, in their own home, to promote their health and independence. You will have autonomy in addition to the support and collaboration of a full team of healthcare professionals.
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VIEW JOBS10/20/2018 12:00:00 AM2019-01-18T00:00PURPOSE AND SCOPE:
Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Responsible for the setup and operation of hemodialysis machines. Assist in the maintenance of a safe and clean working environment. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMC Quality Enhancement Goals (QEP).
DUTIES / ACTIVITIES:
CUSTOMER SERVICE:
* Responsible for driving the FMS culture through values and customer service standards.
* Accountable for outstanding customer service to all external and internal customers.
* Develops and maintains effective relationships through effective and timely communication.
* Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.
PRINCIPAL RESPONSIBILITIES AND DUTIES
PATIENT CARE:
* Assist other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access.
* Welcome assigned patients and inquire as to their well-being since their last treatment. Report any complaints or observations to the nurse supervisor.
* Evaluate vascular access for patency and report any unusual findings to nurse supervisor.
* Obtain necessary pre and post treatment vital signs and weight. Report unusual findings to nurse supervisor.
* Perform vascular access evaluation pre-treatment and report unusual findings to nurse supervisor.
* Perform vascular access cannulation and report any difficulties in cannulation or unusual findings to nurse supervisor.
* Perform administration of Heparin as delegated or as allowed by state law.
* Initiate dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD).
* Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed.
* Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor.
* Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of treatment - document.
* Discontinue dialysis treatment according to established procedures,
* Evaluate patient prior to termination of venous access - standing & sitting blood pressure.
* Obtain Hemostasis and apply appropriate dressings.
* Evaluate the patient for prior to discharge and report any unusual findings to nurse supervisor.
* Perform and record Pre and Post dialysis evaluation, weight and vital signs with initial identification.
* Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed.
* Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits (NVL) 160.
* Record accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification.
* Responsible for accurate documentation of information related to patient treatment including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes.
* Report any significant information and/or change in patient condition directly to the nurse supervisor.
* Observe patient, and conduct machine safety checks according to facility policy. Report any change or unusual findings to the nurse supervisor.
* Perform and document any intervention for unusual patient status and document patients' response to intervention.
* Evaluate patients' vascular access during treatment including arterial and venous monitoring pressures, provide appropriate intervention as needed, document and report any unusual findings to the nurse supervisor.
* Obtain all prescribed laboratory testing and prepare specimens for collection.
MAINTENANCE/TECHNICAL:
* Maintain environmental integrity and aesthetics - ensure all areas are safe and clean.
* Clean and disinfect dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
* Conduct all tasks necessary for preparation for dialysis treatment and document where appropriate.
* Perform all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT).
* Initiate Solution Delivery System (SDS) system.
* Ensure that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy.
* Prepare, organize, and efficiently utilize supplies and equipment to prevent wastage.
CLERICAL & ADMINISTRATIVE:
* Complete and document ongoing participation in Continuous Quality Improvement (CQI) activities.
* Enters all treatment data into the designated clinical application accurately and in a timely manner.
* Review treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate.
* Prepare initial patient chart for admission and compile paperwork for appropriate placement in chart.
* Prepare lab requisitions for prescribed or stat Lab specimens according to laboratory destination.
* Collect, label, appropriately prepare and store lab samples according required laboratory specifications.
* Ensure collection of lab specimens by appropriate lab courier.
OTHER:
* Perform additional duties as assigned.
ADDENDUM FOR PATIENT CARE TECHNICIANS WORKING IN THE HOME PROGRAMS (NOT HOME ASSIST):
Assisting the HT RN:
* May assist HT RN on Home Visit as directed
* Reinforces PD / HHD education under supervision of qualified HT RN
* Schedules and contacts patients regarding appointments
* Weigh patient and obtain vital signs
* Collect treatment records and review for completion. Notify RN of incomplete / missing records.
* Cleaning and prepping treatment room; prep charts
* Preparing lab tubes and requisitions & assisting with lab draw days both pre and post draw (PCT certified phlebotomy or per state regulations)
* Clerical duties as assigned (faxing, mailing to physician offices etc.)
* Obtain home hemo water sampling as directed by the HT RN
* Set-up of the home hemo machine and PD Cycler.
* Assist with exit site care when directed by HT RN.
* Warm dialysate solution when directed by the HT RN
* Draw dialysate solution for testing as directed by the HT RN
* Creates and sends patient reminders (supply inventory for order, Kt/V collection, bringing meds to clinic visit for review)
* Assembles/breaks down charts/thins charts
* Maintains logs as directed and applicable
* Inventory of Home Program
* Maintains par levels of home department supplies
* Files home patient packing slips/invoices
* Inventory for Patients
* Assists patient with supply management and contacting customer service
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials
The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to push and/or pull equipment, exerting up to 15 pounds of force. The employee may be required to lift and to lower solutions on a frequent basis of up to 30 lbs., and on an occasional lift basis up to 40 lbs., as high as 5 feet. There is a two-person assist program and "material assist" devices for the heavier items.
EDUCATION
* Center for Medicaid/Medicare Services (CMS)-approved state and/or national certification or High School diploma or G.E.D. and must meet certification requirements within the required state or CMS timeline.
* All appropriate state licensure, education and training (if any) required.
EXPERIENCE AND REQUIRED SKILLS
* Previous patient care experience in a hospital setting or related facility preferred.
* Continued employment is dependent on successful completion of the FMCNA dialysis training program and successful completion of CPR certification.
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
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Fresenius Medical CareLondonderryNH

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